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Individual

DR. LYNN ALAN FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1222 E. MISSOURI AVE., SUITE 201, PHOENIX, AZ 85014
(602) 242-5445
(602) 242-8374
Mailing address
1222 E. MISSOURI AVE., SUITE 201, PHOENIX, AZ 85014
(602) 242-5445
(602) 242-8374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4438
AZ

Other

Enumeration date
02/11/2007
Last updated
07/29/2009
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